Beyond the Image

Addressing Disparities in Uterine Fibroid Embolization

Mirindi Kabangu, BS
mirindikabangu@gmail.com

Indiana University School of Medicine

October 13, 2025

Biography

Education

  • 2021 - B.S., Biology, University of Kentucky

  • 2026 - M.D., Indiana University School of Medicine

Work History

  • 2023-2025 Research Assistant (Department of Medical and Molecular Genetics)

  • 2020-2022 Research Assistant (Spinal Cord and Brain Injury Research Center)

HISTORY

42-year-old woman

Hypertension, dyslipidemia, diabetes

Heavy menstrual bleeding, pelvic pressure, fatigue

What’s your differential?

What’s your differential?

  • Endometrial Cancer
  • Adenomyosis
  • Leiomyoma

EXAM

Enlarged uterus (~14 weeks size)

What is Your First Step in Imaging?

ACR Criteria

Ultrasound

Ultrasound

Ultrasound

Ultrasound

Diagnosis?

What kind?

Uterine fibroid types

https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/

Uterine fibroid types

https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/

FIGO Classification System

Submucosal Group

  • Type 0: pedunculated intracavitary

  • Type 1: <50% intramural

  • Type 2: ≥50% intramural

Uterine fibroid types

https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/

FIGO Classification System

Other Group

  • Type 3: 100% intramural; contacts endometrium

  • Type 4: intramural

  • Type 5: subserosal ≥50% intramural

  • Type 6: subserosal <50% intramural

  • Type 7: subserosal pedunculated

  • Type 8: other, e.g. cervical, parasitic

Ultrasound

Ultrasound

Ultrasound

Ultrasound

What next?

ACR Criteria

MRI